sign in sign up
<<
Home , Cagayan, Nueva Vizcaya

Nueva Vizcaya

Zen Hotel, Santiago City, November 07, 2019 2018 Expanded National Nutrition Survey

METHODOLOGY Old Survey Design of the NNS Features Description Survey Design One shot (one year) every 5 years Coverage 17 regions, 81 provinces National, Regional, Level of Disaggregation Provincial for some indicators Target Number of Households 60,000 Households and all members of the sampled Target Population households Duration of Data Collection 6.5 Months (one shot) for the reference year Why did we change the design of the NNS?

. Provide Province and HUC Level estimates for local planning of specific and sensitive interventions of our stakeholders

. Provide reliable National Level Estimates annually Why did we change the design of the NNS?

. Adoption of the new Master Sample of the PSA to provide reliable estimations at the Province and HUC Levels Sampling Design of the 2018 ENNS 2013 Master Sample (PSA)

Sampling domains: 2-Stage Cluster Sampling Design 81 provinces st 33 HUCs 1 Stage - PSUs 3 other areas PSU size ranges from (Pateros, Isabela City, City) 100 to 400 z households 16 sample replicates are drawn from each domain 2nd stage

Households from 16 replicates (1,536)

Icons used were retrieved from http://www.flaticon.com PSA Board Resolution No. 06 Approving and Adopting the Survey Design of the Expanded National Nutrition Survey What is the Survey Design of the 2018 NNS?

40 Provinces & ROLLING HUCs for 2018 40 Provinces & for HUCs for 2019 SURVEY 37 Provinces & 3YEARS HUCs for 2020 Target coverage per sampling domain is 1,536 households How did we select the provinces and HUCs to be included in the 2018 ENNS?

Grouping of provinces and HUCs with similar characteristics into replicates

A replicate has at least 5 Test variables provinces and HUCs Number of persons Number of birth registered Number of OFWs 2010 Census of Number of WRA Population and Housing Number of infants Number of children below 5

Number of disabled members Replicated Sampling Replicated Formation of replicates Provinces and HUCs covered in the 2018 ENNS

Cagayan Province Isabela City

Isabela Province Eastern City Davao City City City

Laguna Mandaue City City of City of Caloocan City Western Samar City of San Juan

Olongapo City City of Las Piñas

Zambales Province City of Makati

Bulacan City of Mandaluyong De Oro City City of Taguig Level Eligible Response Response Rate (%)

Household 52,285 45,957 87.9

Individuals 196,332 159,926 81.5 Households Individual Province Eligible Response Response Eligible Response Response Rate (%) Rate (%)

Nueva 1,393 1,255 90.1 5,140 4,349 84.6 Vizcaya 2018 Expanded National Nutrition Survey

Sociodemographic and Socioeconomic Profiles of Households and Its Individual Members Socioeconomic Status

• refers to the social standing or class of an individual or group. It is often measured as a combination of education, income and occupation.

Adapted from APA’s Socioeconomic Status Office publications Operational Definition Wealth Index • The wealth index is a composite measure of a household's cumulative living standard. The wealth index is calculated by principal component analysis using data on household’s ownership of selected assets, materials used for housing construction and types of water access and sanitation facilities. Wealth Index • The wealth index categorizes the households into 5 wealth quintiles, allowing us to assess how the common health and nutrition indicators differ between the poor and non-poor households. • For the provincial and HUCs estimates, wealth status is classified as poor for the bottom 30% of the income group and the non-poor for the upper 30%. Operational Definition Highest Educational Attainment* • refers to the highest grade/year of formal schooling completed by each member of the household and not the total years attended • Regrouped into: a) none - no grade completed b) elementary level - the stage of formal education concerned with providing the first six years of basic education. c) secondary level** - the stage of formal education following the elementary level concerned primarily with continuing basic education and expanding it to include the learning of employable gainful skills, usually corresponding to four years of high school d) college level*** - the stage of formal education following the secondary education, covering the programs on all courses of study leading to a bachelor degree. e) others - Alternative Learning System, SPED , Arabic Schooling

* Phil. Standard Classification of Education (PSCEd) ** including Post-Secondary Non-Tertiary and Short- Cycle Tertiary Education or Equivalent *** including Master and Doctoral Level Education or Equivalent Operational Definition Occupation • refers to the type of work a person does to earn his living with work/business only in the past 6 months.

• 2012 Philippine Standard Occupational Codes (PSOC) is a statistical classification of the different occupational groups of the working population, including the military work force in the country Sociodemographic Profile • Describes the population groups by: a) age - refers to the exact age of each household member as of his/her last birthday b) sex – categorized the household members of the households as males and females c) civil status – or marital status Operational Definitions Civil status - status of an individual in relation to marriage and classified as: a) single - a person who has never been married b) married - a person who has been united in matrimony with another person of opposite sex through a religious or civil rites. c) separated - a person whose partner has left permanently, with or without legal sanctions. d) widowed - a person who has been married before, whether formally or consensually but his/her partner has died and has not remarried at the time of visit. e) common law/live-in – those who live together consensually with another as husband or wife Operational Definitions

Household

• an aggregate of persons, generally but not necessarily bound by ties of kinship, who sleep in the same housing unit and have a common arrangement for the preparation and consumption of food. Operational Definitions Household head • person who generally provides the chief source of income for the household unit • adult person, male or female, who is responsible for the organization and care of the household or who is regarded as such by the members of the household Profile of Households Household Size Sex of Household Members

Mean 4.5

5 members and below 71.9%

Male Female More than 5 28.1% members 49.5% 50.5% Population Groups

Age groups n (%) Women of Reproductive Age 0-23 months 158 4.4 n (%)

24-71 months 455 11.6 55 6.0

72-120 months 513 10.1 108 12.1 >10-19 years 813 17.7

20-59 years 1,939 46.2 781 81.9

60 years and over 471 10.0 Profile of Household Heads Sex Civil Status 100

80 69.4

60

40

Male Female 20 14.6 5.6 6.8 83.0% 17.0% 3.6 0 Separated Single Common Widowed Married Law/Live-in Farmers, Forestry workers, Fishermen 46.9 Laborers and unskilled workers 16.6 Occupation Plant and machine operators 12.7 Service Workers 8.8 Craft and related traders workers 7.1 Officials of the gov't, Corporate executives, managers, supervisors 2.2 Technicians and associate prof 2.1 Professionals 1.6 Clerks 1.2 Not classified elsewhere 0.8 0 10 20 30 40 50

70.0 60.0 Educational 42.1 50.0 36.8 40.0 Attainment 30.0 17.3 20.0 10.0 3.7 0.1 0.0 No education Elementary level At Least At Least Others Secondary Level* College Level** * including Post-Secondary Non-Tertiary and Short- Cycle Tertiary Education or Equivalent ** including Master and Doctoral Level Education or Equivalent

FOOD SECURITY

“exists when all people, at all times, have physical and economic access to sufficient, safe and nutritious food that meets their dietary needs and food preferences for an active and healthy life”. (World Food Summit, 1996) FOOD INSECURITY

“limited or uncertain availability of nutritionally adequate and safe foods or limited or uncertain ability to acquire acceptable foods in socially acceptable ways” (Institute of Nutrition, 1990) When recurrent leads to hunger and hunger when prolonged results to malnutrition METHODOLOGY Questionnaire  Household Food Insecurity Access Scale (HFIAS)

 nine-item questionnaire  based on the respondent’s perception over food situations, resources or supply  self-reported experience in the past month HOUSEHOLD FOOD INSECURITY ACCESS SCALE (HFIAS) Percentage of households by food security status: , 2015 vs. 2018 Percentage of food insecure households : 66.1% vs. 53.9%

100 2015 2018 80

60 46.1 33.9 40 31.9 28.8 21.9 12.3 12.3 12.8

Percentage 20 0 Food Secure* Mildly Food Moderately Food Severely Food * Insecure Insecure Insecure

* Significantly different at 5% level of significance Percentage of households by food insecurity items: Philippines, 2018 Percentage of food insecure households = 53.9%

Worried about food 50.3 49.7 Yes No Unable to eat preferred food 47.5 52.5 Ate just a few kinds of food 43.2 56.8 Ate food they really do not want to eat 37.8 62.2 Ate a smaller meal 33.8 66.2 Ate a fewer meals in a day 19.1 80.9 Had no food of any kind in the household 7.7 92.3 Experienced going to sleep hungry 7.3 92.7 Experienced going a whole day and night without eating 3.3 96.7

0 10 20 30 40 50 % 60 70 80 90 100 Percentage of households by food security status by wealth status, household size and sex of household head: Philippines, 2018

Food Secure Food Insecure 100 82.0 84.1 80 62.1 55.7 60 53.9 49.6 50.4 51.8 46.1 44.3 48.2 37.9 40

Percentage 18.0 20 15.9

0 PHILIPPINES Wealth Quintile Wealth Quintile 1-5 members More than 5 Male Female (Bottom 20%) (Upper 80%) members Wealth Status Household Size Sex of Household Head Food Security Status Nueva Vizcaya, 2018 Percentage of households by food security status: Nueva Vizcaya, 2018

100 100 Philippines Nueva Vizcaya 80 80

60 46.1 60 50.9 % 40 % 28.8 40 26.1 20 12.3 12.8 20 12.0 11.0

0 0 Food Secure Mildly Food Moderately Severely Food Food Secure Mildly Food Moderately Severely Food Insecure Food Insecure Insecure Insecure Food Insecure Insecure

90% Confidence Interval 90% Confidence Interval LL 44.1 11.7 27.1 11.2 LL 47.7 10.0 23.4 8.9 UL 48.0 12.9 30.5 14.4 UL 54.0 14.1 28.8 13.1 * p<0.10 Percentage of households by food insecurity items: Nueva Vizcaya, 2018 Percentage of food insecure households = 49.1%

Worried about food 44.0 56.0 Yes No Unable to eat preferred food 42.3 57.7 Ate just a few kinds of food 35.7 Ate food they really do not want to eat 32.5 67.5 Ate a smaller meal 28.3 71.7 Ate a fewer meals in a day 13.4 86.6 Had no food of any kind in the household 5.9 Experienced going to sleep hungry 5.3 Experienced going a whole day and night without eating 1.3

0 10 20 30 40 50 % 60 70 80 90 100 Percentage of households by food security status by wealth status, household size and sex of household head: Nueva Vizcaya, 2018

Food Secure Food Insecure 100

80 70.4 59.6 55.1 59.1 58.0 60 50.9 49.1 49.7 50.3 40.4 44.9 40.9 42.0 40 29.6

Percentage 20

0 Nueva Vizcaya Poor* Non-poor 1-5 members* More than 5 Male* Female members Wealth Status Household Size Sex of Household Head

* p<0.10 Nutritional Status of Filipino Preschool-Age Children in Nueva Vizcaya

Prevalence of malnutrition among children under five (0-59 months) in the Philippines and Nueva Vizcaya: ENNS, 2018 Philippines Nueva Vizcaya 50 50 36.1 40 30.3 40 30 30 19.1

20 20 17.6 Prevalence Prevalence (%)

Prevalence Prevalence (%) 10 5.6 4.0 10 5.4 2.8 0 0 Underweight Stunting Wasting Overweight-for-Height Underweight Stunting Wasting Overweight-for-Height 90% CI Underweight Stunting Wasting Overweight- 90% CI Underweight Stunting * Wasting Overweight- for-Height for-Height Lower 17.7 28.2 5.2 3.6 Lower 15.7 32.6 3.1 1.9 Limit Limit Upper 20.5 32.4 6.1 4.3 Upper 19.4 39.6 7.7 3.8 Limit Limit * significantly different at 10% level of significance Prevalence of malnutrition among children under five (0-59 months) by sex and wealth status: Nueva Vizcaya ENNS, 2018

60 Underweight 60 Stunting

50 50 46.8

40 40 36.1 36.6 35.5 28.3 30 24.3 30 17.6 18.2 17.2 20 12.8 20 10

Prevalence Prevalence (%) 10 Prevalence Prevalence (%) 0 0 All Male Female Poor* Non- All Male Female Poor* Non- Poor Poor

* significantly different at 10% level of significance Prevalence of malnutrition among children under five (0-59 months) by sex and wealth status: Nueva Vizcaya ENNS, 2018

20 Wasting 20 Overweight-for-Height

10 7.8 10 5.6 5.4 5.2 4.8 4.5 2.8 3.6

Prevalence Prevalence (%) 1.8 Prevalence Prevalence (%) 0.0 0 0 All Male Female Poor Non- All Male Female Poor Non- Poor Poor in preschool-age children Prevalence of anemia among preschool-age children 6 mos to 5 years old (6-71 months) in Nueva Vizcaya: ENNS, 2018

30

20 15.5 14.3 13.8 10.0

10 Prevalence Prevalence (%)

0 90% PhilippinesPhilippines NuevaNueva Vizcaya Vizcaya MaleMale FemaleFemale CI Lower 12.8 6.3 4.5 5.0 Limit Upper 15.9 21.3 15.5 26.0 Limit PREVALENCE OF IDD AND VAD • Urinary iodine excretion and the determination of IDD is not covered among preschool-age children.

• Serum retinol and the determination of Vitamin A deficiency (VAD) is in-progress. Infant and Young Child Feeding Practices Breastfeeding Practices Proportion of infants 0-23 months old, by breastfeeding practices

100 Philippines 100 Nueva Vizcaya 80 80 69.2 68.3 67.4 54.9 60 50.6 60 50.9 39.8

40 33.1 40 Proportions(%) 20 Proportions(%) 20

0 0 Timely Exclusive Continued Continued Timely Exclusive Continued Continued breastfeeding breastfeeding breastfeeding breastfeeding breastfeeding breastfeeding breastfeeding breastfeeding initiation at 1 year at 2 years initiation at 1 year at 2 years

90% CI 90% CI

Lower Limit 65.2 51.2 45.4 29.3 Lower Limit 63.0 52.2 30.0 27.3 Upper Limit 73.1 58.5 55.9 37.0 Upper Limit 73.7 82.7 71.9 52.3 Complementary Feeding Practices MINIMUM DIETARY DIVERSITY

Proportion of children 6-23 months of age Minimum Dietary who receive foods from 4 or more food Diversity: groups (DDS > 4) of the following 7 food groups:

1. Grains, roots and tubers 3. Legumes and Nuts 6. Vitamin A rich fruits & vegetables

5. Eggs 7. Other fruits & vegetables 2. Dairy Products 4. Flesh Meat Minimum Meal Frequency

Proportion of breastfed and non-breastfed Minimum children 6-23 months who received solid, Meal semi-solid, or soft foods consumed at the Frequency: minimum number of times per day

Defined as: 2x for breastfed infants 6-8 months old 3x for breastfed children 9-23 months old 4x for non-breastfed children 6-23 months old Minimum Acceptable Diet

Proportion of children 6-23 months Minimum meeting both the minimum dietary diversity Acceptable and the minimum meal frequency to Diet: ensure both dietary and nutrient adequacy. Proportion of children 6-23 months, by complementary feeding practices 100 89.0 Philippines 100 92.1 Nueva Vizcaya

80 80

60 60

40 40 30.4

23.0 Proportions(%) Proportions(%) 20.5 20 13.4 20

0 0 Minimum Dietary Minimum Meal Minimum Minimum Dietary Minimum Meal Minimum* Diversity Frequency Acceptable Diet Diversity Frequency Acceptable Diet 90% CI 90% CI Lower Limit 21.1 87.6 12.4 Lower Limit 22.2 88.4 14.5 Upper Limit 24.9 90.4 14.4 Upper Limit 38.5 95.8 26.4

* significantly different at 10% level of significance Summary • Underweight was of “medium” public health significance at 17.6% while stunting was “high” at 36.1%. • Anemia is a “mild to moderate” public health problem. • Nueva Vizcaya had lower number of mothers practicing timely breastfeeding initiation, while higher number practicing exclusive breastfeeding and continued breastfeeding than Philippine estimate. • Complementary feeding among children 6-23 months of age is inadequate in energy and nutrient as indicated by a low proportion of children meeting the minimum dietary diversity (MDD) and minimum acceptable diet (MAD). Nutritional Status of Filipino School-Age Children Prevalence of malnutrition among school-age children (5 to 10 years old) in the Philippines and Nueva Vizcaya: ENNS 2018

Philippines Nueva Vizcaya 40 40 30 24.9 24.6 30 24.0 20 20 16.8 7.6 11.6 11.6

10 10 4.0 Prevalence Prevalence (%) 0 Prevalence (%) 0 Underweight Stunting Wasting Overweight & Obese Underweight Stunting Wasting Overweight & Obese 90% CI Underweight Stunting Wasting Overweight 90% Underweight* Stunting Wasting* Overweight & Obese CI & Obese Lower 23.1 22.8 7.2 10.4 Lower 14.3 20.5 2.9 9.5 Limit Limit Upper 26.8 26.5 7.9 12.9 Upper 19.2 27.5 5.1 13.8 Limit Limit * significantly different at 10% level of significance Prevalence of malnutrition among school-age children (5 to 10 years old) by sex and wealth status: Nueva Vizcaya ENNS, 2018

40 Underweight 40 Stunting 37.5

30 30 27.6 24.8 24.0 20.6 20.4 20 16.8 20 17.1 12.7 13.6

10 10

Prevalence Prevalence (%) Prevalence Prevalence (%) 0 0 All Male* Female Poor * Non- All Male Female Poor * Non- Poor Poor

* significantly different at 10% level of significance Prevalence of malnutrition among school-age children (5 to 10 years old) by sex and wealth status: Nueva Vizcaya ENNS, 2018

30 Wasting 30 Overweight & Obese

20 20 14.0 12.4 11.6 11.0 10 5.9 10 7.2

4.0 5.3 Prevalence Prevalence (%) Prevalence Prevalence (%) 2.1 1.2 0 0 All Male Female Poor Non- * * All Male Female Poor * Non- Poor Poor * significantly different at 10% level of significance in school-age children Prevalence of anemia among school-age children (6 to 12 years old) in Nueva Vizcaya: ENNS, 2018

30

20 13.5 11.0 10 7.1

Prevalence Prevalence (%) 4.0

0 90% CI PhilippinesPhilippines NuevaNueva Vizcaya Vizcaya* MaleMale FemaleFemale Lower 11.8 4.0 6.4 0.4 Limit Upper 15.2 10.3 15.5 7.6 Limit

* significantly different at 10% level of significance Iodine Status among School-age children in Nueva Vizcaya Median UIEº and Percent UIE below 50μg/L among school-age children (6 to 12 years old) in Nueva Vizcaya: ENNS, 2018

300 30 250 192 200 180 20 150

11.5 Median 100 10 6.3 5.6 6.6

50 (%) Percentage

0 0 90% CI PhilippinesPhilippines NuevaNueva Vizacaya Vizcaya 90% CI PhilippinesPhilippinesNueva Nueva * MaleMale FemaleFemale Vizcaya Vizcaya Lower 177.6 173.0 Lower 10.3 3.3 1.7 2.9 Limit Limit Upper 183.2 211.0 Upper 12.7 9.4 9.5 10.4 Limit Limit * significantly different at 10% level of significance ⁰Iodine Intake <100 μg/L – Insufficient 100-199 μg/L – Adequate 200-299 μg/L – More than Adequate 300 μg/L and up - Excessive Summary • About 1 in every 10 was underweight while wasting was at 4%. Both problems were significantly lower compared to the national results. • About 1 in every 4 was stunted. • Anemia prevalence was a public health problem with low to mild severity. • Iodine intake of school-age children was adequate based on median urinary iodine, but still pockets of IDD exist. Nutritional Status of Filipino Adolescents Nueva Vizcaya Nutritional Status of Adolescents, >10 to 19 years old: Philippines and Nueva Vizcaya, 2018 50 PHILIPPINESPHILIPPINES 50 NUEVA VIZCAYA 40 40

30 26.3 30 25.5

20 20 15.5 11.3 11.6

8.0 Prevalence (%) Prevalence Prevalence (%) Prevalence 10 10

0 0

Stunting Wasting Overweight Stunting Wasting* Overweight and Obese and Obese

90% LL 24.7 10.5 10.7 90% LL 22.1 6.0 12.5 CI CI UL 28.0 12.1 12.5 UL 29.0 10.1 18.6

* significantly different at 10% level of significance Prevalence of Stunting among Adolescents, >10 to 19 years old by sex and wealth status: Nueva Vizcaya, 2018 50 40.7 40

30 25.5 25.7 25.3 20.7 20

Prevalence (%) Prevalence 10

0 All Male Female Poor Non * Poor

* significantly different at 10% level of significance Prevalence of Wasting among Adolescents, >10 to 19 years old by sex and wealth status: Nueva Vizcaya, 2018 10 8.0 7.8 8.3 8.2 8 7.5

6

4

Prevalence (%) Prevalence 2

0 All Male Female Poor Non Poor Prevalence of Overweight and Obesity among Adolescents, >10 to 19 years old by sex and wealth status: Nueva Vizcaya, 20 2018 18.3 16.7 15.5 15 14.4

10 6.4

5 Prevalence (%) Prevalence

0 All Male Female Poor Non * Poor

* significantly different at 10% level of significance OPERATIONAL DEFINITION PHYSICAL ACTIVITY

Insufficiently Physically Active - Doing less than 60 minutes of moderate- to vigorous-intensity physical activity per day

Reference: World Health Organization (2015) Global Reference List of 100 Care Health Indicators. Geneva 27, Switzerland Proportion of insufficiently physically active adolescents >10 to 19 years old: Philippines and Nueva Vizcaya, 2018

100

80 76.3 77.1

60

40

Prevalence (%) Prevalence 20

0 Philippines Nueva Vizcaya

90% LL 74.8 74.6 CI UL 77.7 79.5 Proportion of insufficiently physically active adolescents >10 to 19 years old by sex and wealth status: Nueva Vizcaya, 2018

100 82.7 77.1 80.4 80 71.8 67.4

60

40

Prevalence (%) Prevalence 20

0 All Male Female Poor Non * * Poor

* significantly different at 10% level of significance Smoking Status of Filipino Adolescents OPERATIONA L SMOKING DEFINITION

CURRENT SMOKERS

– those who smoked during the survey either on a “daily” basis (at least one cigarette a day) or on a regular/occasional basis

• Occasional smokers are those who do not smoke daily but who smoke at least weekly and

• those who smoke less often than weekly

Reference: World Health Organization Proportion of current smokers among adolescents, >10 to 19 years old: Philippines and Nueva Vizcaya, 2018

10

8

6 5.6 4.0

4 Prevalence (%) Prevalence 2

0 Philippines Nueva Vizcaya

90% LL 3.7 4.2 CI UL 4.4 7.1 Proportion of current smokers among adolescents, >10 to 19 years old by sex and wealth status: Nueva Vizcaya, 2018 20

15 10.0 10 5.6 6.3

5 3.9 Prevalence (%) Prevalence 1.0 0 All Male Female Poor Non * Poor

* significantly different at 10% level of significance Drinking Status of Filipino Adolescents OPERATIONA L DRINKING DEFINITION

CURRENT DRINKERS

– those who consumed one or more drinks of any type of alcohol in the year preceding the survey

Reference: World Health Organization Proportion of current drinkers among adolescents, >10 to 19 years old: Philippines and Nueva Vizcaya, 2018

50

40

30 22.3 20 16.8

Prevalence (%) Prevalence 10

0 Philippines Nueva Vizcaya*

90% LL 15.2 20.0 CI UL 18.4 24.7

* significantly different at 10% level of significance Prevalence of anemia among adolescents, >13 to 19 years old: Philippines and Nueva Vizcaya, 2018 10 8.1 8

6 4.7 4

2 Prevalence (%) Prevalence

0

Philippines Nueva Vizcaya*

LL 7.4 2.2 90% UL 8.8 7.1 CI Significance Mild Low to Mild

* significantly different at 10% level of significance Prevalence of anemia among adolescents, >13 to 19 years old by sex: Nueva Vizcaya, 2018 10

8 5.9 6 4.7

4 3.5

Prevalence (%) Prevalence 2

0 All Male Female Nutrition Situation of Women of Reproductive Age Nueva Vizcaya

Prevalence of chronic energy deficiency (CED), overweight and obesity among non- pregnant/non-lactating women of reproductive age, 15-49 years old, 2018 PHILIPPINES NUEVA VIZCAYA CED Overweight and Obese CED Overweight and Obese 50 50 40 35.3 40 36.8

30 30 (%) (%) 20 7.8 20

10 10 5.7 Prevalence Prevalence Prevalence Prevalence 0 0

90% CI CED Overweight and Obese 90% CI CED Overweight and Obese Lower Limit 7.3 33.7 Lower Limit 3.9 35.1 Upper Limit 8.3 36.9 Upper Limit 7.5 38.6

Proportion of nutritionally-at-risk pregnant women: Philippines and Nueva Vizcaya, 2018 50 40 30 20.1 21.3 20

(%) 10 0 Proportion Philippines Nueva Vizcaya

90% CI LL 17.5 9.9 UL 22.8 32.7

Prevalence of chronic energy deficiency (CED), overweight and obesity among lactating mothers, 2018 PHILIPPINES NUEVA VIZCAYA CED Overweight and Obese CED Overweight and Obese 50 50 40 28.5 40

30 30 22.9 (%) 20 11.0 (%) 20 10.8

10 10 Prevalence Prevalence Prevalence Prevalence 0 0

90% CI CED Overweight and Obese 90% CI CED Overweight and Obese Lower Limit 9.5 26.1 Lower Limit 4.6 15.9 Upper Limit 12.5 30.9 Upper Limit 16.9 29.9

Prevalence of anemia among lactating mothers and non- pregnant/non-lactating women of reproductive age, 15-49 years old: Philippines and Nueva Vizcaya, 2018 Non- Preg/Lact Lactating 50 40 30 14.4 20 11.6 6.2 7.4 10 (%) 0

Prevalence Prevalence Philippines Nueva Vizcaya

90% CI NPNL Lactating 90% CI NPNL* Lactating Lower Limit 11.0 12.5 Lower Limit 4.2 1.5 Upper Limit 12.3 16.3 Upper Limit 8.2 13.2

* significantly different at 10% level of significance ºMedian UIE and Percent UIE below 50ug/L among non- pregnant/non-lactating women of reproductive age, 15-49 years old: Philippines and Nueva Vizcaya, 2018

50 250 40 170 162 30

150 20 11.3 12.6 (%)

Median 10 50 0 Philippines Nueva Percentage Philippines Nueva Vizcaya Vizcaya

90% LL 167.9 142.8 90% LL 10.7 8.8 CI CI UL 172.1 180.9 UL 12.0 16.4

ºIodine Intake based on median UIE <100 ug/L – Insufficient 100-199 ug/L – Adequate 200-299 ug/L – More than Adequate 300 ug/L and up - Excessive ºMedian UIE and Percent UIE below 50ug/L among lactating mothers of reproductive age, 15-49 years old: Philippines and Nueva Vizcaya, 2018 250 50 40 128 30 21.2

150 103 20 12.7 (%)

Median 10 50 0 Philippines Nueva Percentage Philippines Nueva Vizcaya Vizcaya

90% LL 98.5 102.1 90% LL 19.7 3.5 CI CI UL 106.5 153.4 UL 22.8 21.9

ºIodine Intake based on median UIE <100 ug/L – Insufficient 100-199 ug/L – Adequate 200-299 ug/L – More than Adequate 300 ug/L and up - Excessive SUMMARY • 1 in every 3 non- pregnant/non-lactating women and 1 in every 4 lactating mothers are overweight/obese in Nueva Vizcaya.

• Non-pregnant/non-lactating women in Nueva Vizcaya have adequate iodine intake however pockets of the population group (12.6%) have UIE level below 50 ug/L.

• Lactating mothers in Nueva Vizcaya have adequate iodine intake however pockets of the population group (12.7%) have UIE level below 50 ug/L. Health and Nutritional Status of Filipino Adults Nueva Vizcaya Nutritional Status of Adults, 20 to 59 years old: Philippines and Nueva Vizcaya, 2018

50 PHILIPPINES 50 NUEVA VIZCAYA 40 40 28.8 30 30 27.4 20 20 9.6

10 6.9 10 4.6 7.2

Prevalence (%) Prevalence Prevalence (%) Prevalence 0 0 Chronic Energy Overweight Obese Chronic Energy Overweight Obese* Deficient Deficient*

90% LL 6.6 28.4 9.3 90% LL 3.6 25.8 6.0 CI UL 7.1 29.2 9.9 CI UL 5.7 29.0 8.3

* significantly different at 10% level of significance Chronic Energy Deficiency among Adults, 20-59 years old, by age group, sex, and wealth status: Nueva Vizcaya, 2018

20 20 25

20 15 15

15 10 10 10 8.4 6.4 5.9 5.6 Prevalence Prevalence (%) 4.6 5 3.9 5 3.8 2.5 5 3.4

0 0 0 ALL 20-29 y 30-39 y 40-49 y 50-59 y Male Female Poor * Non-Poor * significantly different at 10% level of significance Overweight among Adults, 20-59 years old, by age group, sex, and wealth status: Nueva Vizcaya, 2018

50 50 50

40 40 40 33.0 29.9 31.0 31.6 30 27.4 27.7 30 30 24.2 19.0

20 20 20 17.6 Prevalence Prevalence (%) 10 10 10

0 0 0 ALL 20-29 y 30-39 y 40-49 y 50-59 y Male Female * Poor Non-Poor *

* significantly different at 10% level of significance Obesity among Adults, 20-59 years old, by age group, sex, and wealth status: Nueva Vizcaya, 2018

50 50 50

40 40 40

30 30 30

20 20 20 Prevalence Prevalence (%) 8.5 9.8 8.4 10 7.2 6.1 6.7 7.2 10 10 4.8 3.8 0 0 0 ALL 20-29 y 30-39 y 40-49 y 50-59 y Male Female * Poor Non-Poor *

* significantly different at 10% level of significance Prevalence of High Waist Circumference and High Waist-Hip Ratio among Adults, 20 to 59 years old: Philippines and Nueva Vizcaya, 2018

100 PHILIPPINES 100 NUEVA VIZCAYA 80 80

60 60

40 35.3 40 33.0

20 13.5 20 Prevalence Prevalence (%) Prevalence Prevalence (%) 9.3 0 0 High Waist High Waist-Hip High Waist High Waist-Hip Circumference Ratio Circumference * Ratio * 90% LL 13.2 34.9 90% LL 8.2 31.5 CI UL 13.8 35.7 CI UL 10.4 34.6

* significantly different at 10% level of significance High Waist Circumference among Adults, 20-59 years old, by age group, sex, and wealth status: Nueva Vizcaya, 2018

40 40 40 35 35 35 30 30 30 25 25 25 20 20 17.2 20 14.5 15 15 15 11.6 Prevalence Prevalence (%) 9.3 9.3 10 8.6 10 10 5.1 3.9 5 5 2.2 5 0 0 0 ALL 20-29 y 30-39 y 40-49 y 50-59 y Male Female * Poor Non-Poor * * significantly different at 10% level of significance Prevalence of Anemia among Adults°, 20-59 years old: Philippines and Nueva Vizcaya, 2018

20 PHILIPPINES 20 NUEVA VIZCAYA

15 15

10 8.3 10 6.2 5.5 4.8

5 Prevalence (%) 5 Prevalence Prevalence (%)

0 0 Anemia Anemia * Male Female

90% LL 7.7 LL 3.9 90% CI * significantly different at 10% level of significance CI UL 9.0 UL 7.2

° excluding pregnant or lactating women Prevalence of Elevated Blood Pressure among Adults, 20 to 59 years old: Philippines and Nueva Vizcaya, 2018

20 18.7 16.0 15

10

5 Prevalence Prevalence (%)

0 Philippines Nueva Vizcaya* LL 15.6 17.3 90% CI UL 16.4 20.2

* significantly different at 10% level of significance Elevated Blood Pressure among Adults, 20-59 years old, by age group, sex, and wealth status: Nueva Vizcaya, 2018

40 40 40 35 30.9 35 35 30 30 30 25 22.3 25 22.1 25 18.7 20.3 20 16.5 20 15.6 20 15.6

15 15 15 Prevalence Prevalence (%) 10 8.7 10 10 5 5 5 0 0 0 ALL 20-29 y 30-39 y 40-49 y 50-59 y Male * Female Poor Non-poor * significantly different at 10% level of significance Prevalence of High Fasting Blood Sugar among Adults, 20 to 59 years old: Philippines and Nueva Vizcaya, 2018

20

15

10 6.7

5 4.1 Prevalence Prevalence (%)

0 Philippines Nueva Vizcaya* LL 6.2 2.6 90% CI UL 7.2 5.5

* significantly different at 10% level of significance High Fasting Blood Sugar among Adults, 20-59 years old, by age group and sex: Nueva Vizcaya, 2018

30 30

25 25

20 20

15 13.5 15

10

Prevalence Prevalence (%) 10 4.1 4.7 5 2.2 5 3.2 0.6 1.2 0 0 ALL 20-29 y 30-39 y 40-49 y 50-59 y Male Female Proportion of Current Smokers among Adults, 20 to 59 years old: Philippines and Nueva Vizcaya, 2018

30 25 21.5 20 16.4 15

10 Proportion Proportion (%) 5 0 Philippines Nueva Vizcaya* LL 20.7 14.5 90% CI UL 22.4 18.2

* significantly different at 10% level of significance Current Smoking among Adults, 20-59 years old, by age group, sex, and wealth status: Nueva Vizcaya, 2018

50 50 50

40 40 40 29.0 30 30 30

20 16.4 16.9 17.9 20 20 17.7 15.6 15.6 13.6

Proportion Proportion (%) 10 10 4.6 10

0 0 0 ALL 20-29 y 30-39 y 40-49 y 50-59 y Male* Female Poor Non-Poor * significantly different at 10% level of significance Proportion of Current Smokeless Tobacco Users among Adults, 20 to 59 years old: Philippines and Nueva Vizcaya, 2018

50

40

30 25.2

20 Proportion Proportion (%) 10 2.3 0 Philippines Nueva Vizcaya * LL 90% 2.0 22.2 CI UL 2.7 28.1

* significantly different at 10% level of significance Proportion of Binge Drinkers among currently drinking Adults, 20-59 years old, in the past 30 days: Philippines and Nueva Vizcaya, 2018

80 64.2 60 55.7

40

20 Proportion Proportion (%)

0 Philippines Nueva Vizcaya * LL 53.3 61.1 90% CI UL 58.1 67.4

* significantly different at 10% level of significance Proportion of Binge Drinkers among currently drinking Adults, 20-59 years old, in the past 30 days by age group, sex, and wealth status: Nueva Vizcaya, 2018

80 80 71.1 80 67.5 70 64.2 65.5 66.1 65.3 70 70 63.0 58.3 60 60 60 50 50 50 40 40 40 29.4

30 30 30 Prevalence Prevalence (%) 20 20 20 10 10 10 0 0 0 ALL 20-29 y 30-39 y 40-49 y 50-59 y Male * Female Poor Non-Poor * significantly different at 10% level of significance Proportion of Physically Inactive Adults, 20 to 59 years old: Philippines and Nueva Vizcaya, 2018

60 50 40.6 38.1 40 30

20 Proportion Proportion (%) 10 0 Philippines Nueva Vizcaya LL 38.1 34.7 90% CI UL 43.1 41.4 Physical Inactivity° among Adults, 20-59 years old, by age group, sex, and wealth status: Nueva Vizcaya, 2018

80 80 80 70 70 70 60 60 60 50 50 45.3 50 42.7 38.1 40.8 39.5 40 36.3 35.0 40 40 30.4

30 30 30 25.5 Proportion Proportion (%) 20 20 20 10 10 10 0 0 0 ALL 20-29 y 30-39 y 40-49 y 50-59 y Male* Female Poor * Non-Poor * significantly different at 10% level of significance ° A person not meeting any of the following criteria: . 75 mins of vigorous-intensity physical activity per week (≥ 3 days of vigorous-intensity activity of at least 20 mins per day) OR . 150 mins of moderate-intensity physical activity per week (≥ 5 days of moderate-intensity activity or walking of at least 30 mins per day) OR . an equivalent combination of moderate- and vigorous-intensity physical activity achieving at least 600 MET-minutes per week

- World Health Organization (2010). Global recommendations on physical activity for health. Summary (Adults)  Chronic energy deficiency was significantly lower than the Philippine estimate.  Android obesity (high WC and WHR) was significantly lower than the national estimate.  Anemia was of “low to mild” public health significance.  Elevated blood pressure was significantly higher than the national estimate and was more prevalent among male adults. Summary (Adults)

 High fasting blood sugar was significantly lower than the national prevalence.  Current smoking in Nueva Vizcaya was significantly lower than the national proportion and significantly higher among male adults than females.  The proportion of current smokeless tobacco users (25.2%) was significantly higher than the national estimate.  Binge drinking was significantly hgiher than the national estimate and was more common among male adults. Health and Nutritional Status of Filipino Elderly Nueva Vizcaya Chronic Energy Deficiency among Elderly, 60 years old and above: Philippines and Nueva Vizcaya, 2018

30

20 13.4 13.8

10 Proportion Proportion (%)

0 Philippines Nueva Vizcaya LL 12.9 10.6 90% CI UL 14.0 17.0 Prevalence of Overweight and Obesity among Elderly, 60 years old and above: Philippines and Nueva Vizcaya, 2018

50 PHILIPPINES 50 NUEVA VIZCAYA 40 40 30 24.7 30 18.3 20 20

10 6.3 10 4.6

Prevalence (%) Prevalence Prevalence (%) Prevalence 0 0 Overweight Obese Overweight * Obese

LL 23.9 5.9 LL 14.8 2.7 90% CI 90% CI UL 25.5 6.8 UL 21.9 6.5

* significantly different at 10% level of significance Prevalence of High Waist Circumference and High Waist-Hip Ratio among Elderly, 60 years old and above: Philippines and Nueva Vizcaya, 2018

100 PHILIPPINES 100 NUEVA VIZCAYA 80 80 60 47.7 60 43.9 40 40 17.8

20 20 9.7 Prevalence (%) Prevalence Prevalence (%) Prevalence 0 0 High Waist High Waist-Hip Ratio High Waist High Waist-Hip Ratio* Circumference Circumference *

90% LL 17.1 46.7 90% LL 8.5 42.0 CI UL 18.6 48.6 CI UL 10.9 45.7

* significantly different at 10% level of significance Prevalence of Anemia among Elderly, 60 years old and above: Philippines and Nueva Vizcaya, 2018

40

30 20.2 20 14.5

Proportion Proportion (%) 10

0 Philippines Nueva Vizcaya LL 17.7 10.2 90% CI UL 22.8 18.8 Median UIE° and Percent UIE below 50 μg/L among Elderly, 60 years old and above: Philippines and Nueva Vizcaya, 2018

200 60 50 g/L) 138.0 μ 150 108.0 40 100 30 23.3 20 12.7 50 10

Percentage (%) Percentage 0

Median UIE UIE Median( 0 Philippines Nueva Vizcaya * Philippines Nueva Vizcaya *

LL 105.2 123.7 LL 90% 90% 20.4 8.7 CI CI UL 110.3 152.5 UL 26.3 16.6

* significantly different at 10% level of significance °Iodine Intake based on median UIE <100 μg/L – Insufficient 100-199 μg/L – Adequate 200-299 μg/L – More than adequate 300 μg/L and up – Excessive Prevalence of Elevated Blood Pressure and High Fasting Blood Sugar among Elderly, 60 years old and above: Philippines and Nueva Vizcaya, 2018

50 PHILIPPINES 50 NUEVA VIZCAYA

40 35.0 40 36.6

30 30 20 13.8 20 10.2

10 Prevalence Prevalence (%) Prevalence Prevalence (%) 10

0 0 Elevated Blood High Fasting Blood Elevated Blood High Fasting Blood Pressure Sugar Pressure Sugar 90% LL 33.7 12.2 90% LL 33.3 6.3 CI UL 36.2 15.5 CI UL 40.0 14.2 Proportion of Current Smokers, Current Smokeless Tobacco Users, Current Alcohol Drinkers, and Physically Inactive Elderly, 60 years old and above: Philippines and Nueva Vizcaya, 2018

80 PHILIPPINES 80 NUEVA VIZCAYA

60 50.6 60 47.6 37.0 40 28.2 40 16.3 19.1 22.0

20 20 Proportion (%) Proportion 3.6 (%) Proportion 0 0 Current Current Current Physically Current Current Current Physically Smokers Smokeless Alcohol Inactive Smokers Smokeless Alcohol Inactive Tobacco Users Drinkers Tobacco Users* Drinkers* 90% LL 15.5 3.2 25.8 48.5 90% LL 15.8 18.8 32.5 41.4 CI UL 17.1 4.0 30.5 52.7 CI UL 22.5 25.3 41.5 53.8

* significantly different at 10% level of significance Summary (Elderly)  Overweight and android obesity (high WC and high WHR) wer significantly lower than the Philippine prevalence.  Anemia was of “mild” public health significance.  Iodine deficiency was significantly lower than the national prevalence.  About 3 in every 10 elderly (36.6%) had elevated blood pressure. Summary (Elderly)  Current smoking was slightly higher in Nueva Vizcaya compared with the national estimate but not significant.  The proportion of current smokeless tobacco users (22.0%) was significantly higher than the national estimate.  Current alcohol drinking was significantly higher than the national proportion.